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' GROUNDWATER PURGE AND SAMPLE FORM <br /> ProlectName 65'�Xd We0NO Date <br /> Project No T1 39 2 - / �v0 Personnel CH'g1 i Cl>✓�%�3y'Rl� __ <br />' GAUGING DATA <br /> Water Level Measuring Method /T�RF�i c Measuring Point Description i C>—� <br /> Casing Total Req'd <br /> WELL Total Depth Depth to Water I Water Column I Multiplierfor Volume Purge Volume <br /> VOLUME (feet) R (feet) _ (feet) Casing Casing Diameter <br /> CALCULATION 1 4 1 6 <br /> U �5� �3 0 161 0 64 11 44 k D <br /> PURGING DATA <br /> Purge Method V—A-CLLuvyl. Purge Depth sCRY�-eV Purge Rate <br /> Tine= - _ 1Y" ' =� =- j10' J/CS 110 �!tO <br /> Volume Purges(gal) 1 Z <br /> 7emperatuii(0s) r ��^ r _ p 6 �v 7 <br /> F7- 24 <br /> Specific Conducttvlty Cu h s)�u ' � � ,¢S <br /> -t' LT Y v-c3�- <br /> - <br /> Turbldlty/Color- �� �1Y ��,^r L / <br /> Cascng_1�olum�esRemcn <br /> I � "�Y.,,. +L E.s..7=en 1' %"�.r.C'.•"d.�'R,+ - _ r _ I <br /> Comments/Observations <br />' <br /> SAMPLINGDATA <br /> Time Sampled 1 1 Approx Depth to Water During Sampling 1 <br /> Comments <br /> - volume Stripped Under Chain <br /> sample Number of Container Filled of Custody at 40C Analysis <br /> Number Containers Type Preservative (mL or U Turbidlty Color /N Method Comments <br /> L;vs mw �'„ VDA 111 L, Imzj- cuc r g fME <br /> f <br /> �VTotalPurgeVolume 6�t ��� Disposal/ContainmentMethod 'L g2 T 0 af. <br /> - <- <br /> eatherConddions y-' <br /> Condition of Well Box and Casing at lme of Sampling 0 k <br /> Well Head Conditions Requiring Correction(locks,dams ed casing orwelt box,etc) <br /> Problems Encountered During Purging and Sampling <br /> Comments <br /> PMS PAWTEMP FoRMs.PuAGPioss <br />